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CommercialPrior AuthHigh impact

25-1223 Prior Authorization Updates Now in Effect - More Changes Coming in Early 2026

Health Net·CA·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

Health Net California has implemented prior authorization updates affecting medications, with new additions, removals, reclassifications and CMS code changes now in effect. Additional changes are scheduled for early 2026, requiring ongoing monitoring of prior auth requirements.

Action Required

Action needed
Immediately: Download and review the Provider Update PDF from Health Net California's provider library to identify specific medication prior authorization changes. Update billing system and staff workflows for any new prior auth requirements. Monitor for additional updates scheduled for early 2026.

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